Provider Demographics
NPI:1811638695
Name:DIGNITY HOSPICE AND HEALTHCARE LLC
Entity type:Organization
Organization Name:DIGNITY HOSPICE AND HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCHOLAR
Authorized Official - Middle Name:
Authorized Official - Last Name:IBEZIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,DNPRN
Authorized Official - Phone:678-908-8870
Mailing Address - Street 1:319 HARDIN HOME WAY STE 19
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6045
Mailing Address - Country:US
Mailing Address - Phone:678-908-8870
Mailing Address - Fax:
Practice Address - Street 1:33 UPPER RIVERDALE RD SW STE 19
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2617
Practice Address - Country:US
Practice Address - Phone:678-908-8870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based